42 CFR 455.14 : Public Health (Part 1 To Parts 1009-1099) — (§ 430.0 To Part 481) — Centers For Medicare & Medicaid Services, Department Of Health And Human Services (Continued) (§ 430.0 To Part 481) — Medical Assistance Programs (§ 430.0 To § 456.725) — Program Integrity: Medicaid (§ 455.1 To § 455.518) — Medicaid Agency Fraud Detection And Investigation Program (§ 455.12 To § 455.23) — Preliminary investigation.
4 Aug 2016
If the agency receives a complaint of Medicaid fraud or abuse from any source or identifies any questionable practices, it must conduct a preliminary investigation to determine whether there is sufficient basis to warrant a full investigation.